Milford Meadows Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 80 beds and averages 69.2 residents a day — about 86% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.34 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.40 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.76 hrs/resident/day on weekends vs 3.57 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.37 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · D2026-05-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY License Reference Number: 175 NAC 12-006.2(H) Based upon record review and interview, the facility failed to submit an investigation to the State Agency within five working days.The facility census was 68. FINDINGS ARE:A record review of Facility policy Notification of Changes Policy dated 5-17-2024 revealed that notification of physician and resident representative is required when an accident results in injury and may require physician intervention, when a significant change in resident condition is noted, when there is a need to alter treatment or the resident with be transferred or discharged from the facility. A record review of Facility's undated policy titled Procedure for Notification of Changes for Resident (undated) revealed that notification will occur following an accident which results in injury or may require physician intervention, a significant change in resident status, a need to alter treatment significantly, or a decision to transfer or discharge the resident from the facility. A record review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(E) Licensure Reference Number 175 NAC 12-006.18(B) Based on observation, interview, and record review, the facility failed to ensure the final cooking temperatures (temps) of the food were obtained to prevent the potential for foodborne illness. The facility also failed to ensure the dishwashing machine temps were greater than 120 degrees Fahrenheit (F) during the wash and rinse cycles, the ceiling fan and light covers were free from debris, and food temperatures were taken following microwaving food to prevent the potential for foodborne illness. This had the potential to affect all residents in the facility that consumed food from the kitchen. The facility census was 63. Findings are: In an interview on 02/11/2025 at 2:11 PM, the facility's Administrator confirmed there was only 1 resident in the facility that did not consume (eat) food from the kitchen. A. A record review of the United States Department of Agriculture's (USDA) Safe Minimum Internal Temperature Chart dated 05/11/2020 revealed that safe steps in food handling, cooking,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-11 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.18B Licensure Reference Number 175 NAC 12-006.18D The facility failed to ensure infection control measures were followed related to lack of signage indicating Enhanced Barrier Precautions (EBP, an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes. Enhanced Barrier Precautions involve gown and glove use during high-contact resident care activities for residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices) and the Personal Protective Equipment (PPE) required for cares on Residents 10,15, 24 , and 52, the storage of respiratory equipment for Residents 10, 15, 24, 25 and 52, mask cleaning for Resident 1's PAP, perform hand hygiene between glove changes and wear eye protection during catheter cares on Resident 52, and failed to carry clean linens away from the body to prevent the potential…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-11 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.05(S) Licensure Reference Number 175 NAC 12-006.19(A) Based on observation, interview, and review; the facility failed to ensure that the food and beverages were not served to residents with disposable dishware and cutlery to protect the residents' rights to be treated with dignity and to preserve a homelike environment. This affected the 25 facility residents who received their meals in their rooms. The facility census was 63. Findings are: A record review of the Resident Rights policy, dated 9/2019 revealed the facility would make every effort to assist each resident in exercising their rights to ensure that the resident was always treated with respect, kindness, and dignity. A record review of the facility's Resident Handbook, dated January 2024 revealed Resident Rights were included and the residents had the right to be treated with consideration, respect, dignity, and reasonable accommodation of one's needs and preferences. A record review of the facility's undated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-11 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.05(S) Licensure Reference Number 175 NAC 12-006.19(A) Based on observation, interview, and review, the facility failed to ensure that comfortable sound levels were maintained in the facility to protect the residents' right to be treated with consideration, respect, and the choices of the residents. The facility census was 63. Findings are: A record review of the Resident Rights policy dated 9/2019 revealed the facility would make every effort to assist each resident in exercising their rights to ensure that the resident is always treated with respect, kindness, and dignity. A record review of the facility's Resident Handbook dated January 2024 revealed Resident Rights were included and the residents had the right to be treated with consideration, respect, dignity, and reasonable accommodation of one's needs and preferences. A record review of the un-named Resident 36 complaint dated 02/10/2025 revealed the resident was admitted to the facility on [DATE] and around the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09H Based on observation, interview, and record review, the facility failed to cleanse the resident's wounds prior to applying treatment and failed to cleanse another wound in a circular motion from the center of the wound outward for 1 (Resident 9) of 4 sampled residents. The facility census was 63. Findings are: A record review of the NursingEducation.org's article Nurse Insights: What Are the Best Practices for Wound Care in Nursing? dated 01/18/2024 revealed the best practice for cleaning a wound is to clean around the wound using the prescribed solution. This is done by gently wiping in a circular motion from the center of the wound outward. https://nursingeducation.org/insights/wound-care/ A record review of Resident 9's Clinical Census dated 02/11/2025 revealed the resident was admitted to the facility on [DATE]. A record review of Resident 9's Medical Diagnosis list dated 02/11/2025 revealed the resident had diagnoses of Non-pressure chronic (long term) ulcer…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-11 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure behavior monitoring was completed to support the use of multiple psychotropic medications (drugs that affect the brain and nervous system, influencing mood and behavior) for one (Resident 17) of two sampled residents. The facility identified a census of 63. Findings are: A record review of the facility policy titled Charting (Behaviors) with a last revision date of 1/20 revealed the following guidance related to the documentation of resident behaviors: Procedure: 1. All staff are responsible for the documentation of any observed behaviors. a. Nursing Assistants should document behaviors in the POC (Point of Care) system under the specific resident. b. Nurses and members of the Inter-disciplinary team (IDT) should document daily behaviors in PCC: i. Create a note under the Behavior category. This should include details of the behavior and the attempted interventions, including the outcome of those interventions. 1. New interventions need to be tried and documented. Non-pharmacological interventions should always be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09D2b Based on record review, observation, and interview; the facility failed to monitor a pressure ulcer for 1 (Resident 4) of 3 sampled residents. The facility staff identified a census of 61. Findings are: Record review of Resident 4's face sheet revealed the resident admitted to the facility 11/30/2020. Record review of a late entry progress note for Resident 4 by Registered Nurse (RN)-J revealed the following Late entry for 2/24, treatment completed to right leg lotion applied, noticed a large piece of lose dry skin hanging from the heal. assessing the area there is a 5 cm x 5 cm purple mushy area on his heal. Applied a merplix to protect the heal. Fax to MD and skin assessment done today. Record review of a fax cover sheet dated 2/26/2024 to Resident 4's practitioner revealed Resident 4 Has a fluid filled area 5.0 Centimeters (CM) X 5.0 CM to the right heel, Possible Pressure related. The facility staff requested a treatment order for the right heel. Record review of a returned fax with the sent date of 2/26/24 revealed the Family…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-04-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number175 NAC 12-006.11E Based on observation, interview and record review, the facility failed to prevent the potential for food borne illness related to low dishwasher temps. This had the potential to affect 65 of 66 residents who receive food from the kitchen. The facility failed to monitor remvoal of room trays this affected Resident 59. The facility identified a census of 66. Findings are: An observation on 03/27/24 at 07:45 AM revealed that facility dishwasher was a hot water and chemical sanitization system. The observation revealed a dishwasher temperature for the wash cycle that read 100 degrees F. The observation revealed that the face of the temperature dial on the dishwasher read 120 degrees F. The observation revealed a rinse temperature of 110 degrees F. The observation of the dishwasher temperatures during the wash and the rinse cycles was observed and verified by the CDM and confirmed to not be meeting sanitization requirements on 03/27/24 at 7:55 AM. An observation on 3/27/24 at 2:10 PM, accompanied by Cook-B, revealed a dishwasher temperature of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-04-02 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY B. A record review of the document titled admission Record printed on 3/28/24 revealed that the facility had admitted Resident 13 on 6/19/20 with a primary diagnosis of a TBI (Traumatic Brain Injury). A record review of the MDS (Minimum Data Set, a comprehensive assessment of each resident's functional capabilities) dated 2/22/24, Section C revealed no BIMS (Brief Interview for Mental Status, a test used to get a quick snapshot of a resident's cognitive function, scored from 0-15, the higher the score, the higher the cognitive function) score for Resident 13. The record review revealed Section C did contain the following questions related to cognitive patterns: C0700 Seems or appears to recall after 5 minutes with an answer of 1. Memory problem. C1000 Made decisions regarding tasks of daily life with an answer of 3. Severely impaired. An observation on 03/27/24 at 8:31 AM revealed Resident 13 was noted to have a bag hanging on the oxygen (o2) concentrator (which is a machine that takes air from your…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 93% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $73K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE